2025 KFF Marketplace Enrollees Survey
In 2025, about one in three ACA enrollees said they would be “very likely” to look for a lower-premium Marketplace plan If their premium payments doubled.
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In 2025, about one in three ACA enrollees said they would be “very likely” to look for a lower-premium Marketplace plan If their premium payments doubled.
Adults ages 50 to 64 are disproportionately affected by the expiration of ACA enhanced premium tax credits because they make up a large number of Marketplace enrollees and premiums rise with age.
Following the expiration of the enhanced premium tax credits for people with Affordable Care Act (ACA) Marketplace plans, a new KFF follow-up survey of the same Marketplace enrollees KFF surveyed in 2025 finds half (51%) of returning enrollees say their health care costs are “a lot higher” this year compared to last year, including four in 10 who specifically say their premiums are “a lot higher.”
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Yes. The COBRA premium subsidy is payable starting on April 1, 2021 until September 30, 2021 or until your COBRA eligibility ends whichever comes first. So in your case, you will be able to get the subsidy for five months (April through August).
You can continue on COBRA unsubsidized until your 18 months of COBRA eligibility ends. In addition, you will have the option to enroll in marketplace coverage when the subsidy ends in September. Loss of the COBRA subsidy will make you eligible for a special enrollment period (SEP) to sign up for marketplace coverage. If you make your plan selection before the end of September, new marketplace coverage will take effect on October 1.
Yes, eligibility for COBRA does not affect your eligibility for Medicaid or vice versa. Medicaid also offers premium-free coverage (in some states Medicaid charges a nominal monthly premium for some adults) with no or nominal cost sharing. As you consider options, you will want to compare provider networks, cost sharing, covered benefits, other plan features. If you elect COBRA, remember the subsidy ends no later than September 30, 2021. If income remains at or below…
Some consumers with little or no credit history, such as young adults or recent immigrants, may have difficulty setting up accounts on HealthCare.gov. That is because the federal Marketplace uses real-time identity proofing techniques to protect consumers from unauthorized access to their personal information and to prevent fraud. First, you should check to make sure you have entered all information requested in order to create an account, including information labeled as optional. If this does not…
If you report inaccurate or false information about your tobacco use on an application, an insurer is allowed to retroactively impose a tobacco surcharge to the beginning of the plan year. However, the insurer is not allowed to cancel your coverage because of the false or incorrect information. Click here for more information on tobacco surcharges.
No. Unlike premium tax credits, which are reconciled each year based on the income you actually earned, cost-sharing reductions are not reconciled.
No, your final premium tax credit amount will be determined based on your income for the year as reported on your tax return. The fact that it ended up being less than you expected does not mean you have to repay the advance premium tax credit paid on your behalf, even if you could have qualified for Medicaid. In fact, your final credit amount will likely be larger than the amount you received in advance.…
You can make adjustments during the year whenever you need to. There is no limit to the number of times a person may report income, family, or insurance-eligibility changes to the Marketplace. Changes that you report will be verified by the Marketplace. Then the Marketplace will send you a notice (called a redetermination notice) showing your revised eligibility for premium tax credits and cost-sharing reductions. The adjustment should take effect by the first day of…
When you apply for the premium tax credit, you will be asked to estimate your expected income for the upcoming year. Often a good place to start is to consider what your income is this year, or what income you reported on your tax return last year. However, if your circumstances have changed since then, you should make your best estimate of what your income will be next year. For example, if you recently lost…
It depends on whether she earned enough income to be required to file a federal income tax return on her own. Generally, kids who qualify as tax dependents aren’t required to file a federal income tax return or pay taxes on their income if they earned less than a certain amount ($14,600 in 2025). If your daughter earned less than that, you would not count her income as part of your household income when you…
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